情境模擬溝通課程對提升新進護理人員溝通自信心之研究

Background: Nurses are expected to have keen observation skills to monitor inpatient conditions and good communication skills to facilitate doctor-inpatient communications. Communication skills are thus a core attribute required of professional nurses.Purpose: This study explored the effectiveness of a scenario-based communication course on increasing the self-confidence of novice nurses in communicating with inpatients. Methods: This study used a quasi-experimental pre-test and post-test study design based on non-random cluster sampling and tests were administered on 118 novice nurses with less than one year of clinical experience at one of three training hospitals in Taipei City. The control group (nurses working at hospitals A and B) received a two-hour standard course in communications; The experimental group (nurses working at hospital C) received a three-hour scenario-based communications course. Data was provided by subjects via a self-rated scale that assessed respondent self-confidence in communicating with inpatients. Statistical analyses were performed using the SPSS statistical software package for Microsoft Windows (version 17.0).Results: Results of a dependent paired t-test show that average posttest scores for both groups were significantly higher (p＜.001) than average pretest scores. This demonstrated that both interventions were effective raising nurse confidence with inpatient communications. An ANCOVA showed no significant difference (p=.14) in average self-rated Confidence in Communication Scale scores between the two groups (experimental: 48.92, SD=5.04; control: 48.18, SD=5.14).Conclusions: Findings suggest the positive effect of both courses in increasing nurse confidence in communicating with inpatients. The scenario-based communications course was no more effective than the ordinary classroom communications course in making nurses more confident in communicating with inpatients.

關鍵字

情境模擬；護理人員；溝通自信心；標準化病人

並列摘要

並列關鍵字

scenario-based ； nurses ； self-confidence in communication ； standardized patients

被引用紀錄

陳文香、羅惠敏（2019）。溝通課程對提升護生人際溝通能力與學習滿意度之探討。健康科技期刊，6(1)，16-26。https://doi.org/10.6979/TJHS.201909_6(1).0004

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利怡慧、張寧郁、陳婉宜、陳美惠、陳保佑、周嫚君、陳德全（2022）。客觀結構化教學活動於護理師資培育之運用。台灣醫學，26(3)，368-373。https://doi.org/10.6320/FJM.202205_26(3).0013

翁瑞萱、謝素英、許麗齡（2018）。情境案例運用於內外科護理癌症單元之學習滿意度研究。腫瘤護理雜誌，18(1)，45-59。https://doi.org/10.3966/168395442018061801005

李絳桃、陳怡樺、張賢宗、陳光武、林秋子、韓丹茹（2020）。在職護理人員「護病性溝通課程」模式初探：質性研究。台灣性學學刊，26(1)，65-94。https://doi.org/10.3966/160857872020052601003

延伸閱讀

周英芳、謝美玲、李惠珍、賴惠玲、彭少貞、王仁宏（2017）。以人際關係教學改善醫院護理人員之溝通自信心。健康與建築雜誌，4(1)，67-75。https://doi.org/10.6299/JHA.2017.4.1.R8.67
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陳靜紋、李安瑜、方茂守（2018）。運用多元教學策略於精神科護理實習生之溝通成效初探。華醫學報，(49)，93-110。https://www.airitilibrary.com/Article/Detail?DocID=P20151116003-201812-201902110013-201902110013-93-110
董育珍、廖麗怡、陳淑娟、郭麗玲、黃惠暄、吳貞鋆、章正俐、柯雅婷（2021）。運用擬真情境教學法提升新進護理人員交班之學習成效探討。台灣擬真醫學教育期刊，8(1)，4-14。https://doi.org/10.6582/JTSSH.202106_8(1).0001
ERENEL, A. Ş., SÖZBİR, Ş. Y., AKSOY, M. U., GÜRCÜOĞLU, E. A., AKSU, S. P., TOPRAK, F. Ü., & ASALIOĞLU, C. U. (2021). Effect of Scenario-Based Simulation Training on the Obstetrics and Gynecology Nursing Clinical Practicum. The Journal of Nursing Research, 29(2), 1-9. https://doi.org/10.1097/jnr.0000000000000417

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情境模擬溝通課程對提升新進護理人員溝通自信心之研究

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